Lessons Learned From Rapid Deployment of 100% Mortality Review for Patients With COVID-19 Across a Health System.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-09-01 DOI:10.1097/JMQ.0000000000000062

Carrie A Herzke, Christine G Holzmueller, Michael Dutton, Allen Kachalia, Peter M Hill, Elliott R Haut

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引用次数: 1

Abstract

Mortality review is one approach to systematically examine delivery of care and identify areas for improvement. Health system leaders sought to ensure hospitals were adapting to the rapidly changing medical guidance for COVID-19 and delivering high-quality care. Thus, all patients with a COVID-19 diagnosis within the 6-hospital system who died between March and July 2020 were reviewed within 72 hours. Concerns for preventability advanced review to level 2 (content experts) or 3 (hospital leadership). Reviews included available autopsy and cardiac arrest data. Overall health system mortality for COVID-19 patient admissions was 12.5% and mortality for mechanically ventilated patients was 34.4%. Significant differences in mortality rates were observed among hospitals due to demographic variations in patient populations at hospitals. Mortality reviews resulted in the dissemination of evolving knowledge among sites using an electronic medical record order set, implementation of proning teams, and development of checklists for converting COVID-19 floors and units.

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在整个卫生系统中快速部署COVID-19患者100%死亡率审查的经验教训

死亡率审查是系统检查提供护理和确定需要改进的领域的一种方法。卫生系统领导人努力确保医院适应快速变化的COVID-19医疗指南，并提供高质量的医疗服务。因此，在2020年3月至7月期间死亡的6家医院系统内所有诊断为COVID-19的患者在72小时内进行了审查。对预防性高级审查的关注达到2级(内容专家)或3级(医院领导)。回顾包括可用的尸检和心脏骤停数据。COVID-19入院患者的总体卫生系统死亡率为12.5%，机械通气患者的死亡率为34.4%。由于医院患者群体的人口统计学差异，各医院之间的死亡率存在显著差异。死亡率审查的结果是，使用电子病历订单集在各站点之间传播不断发展的知识，建立了应急小组，并制定了转换COVID-19楼层和单位的清单。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.